The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. What response by the nurse would best reassure this patient?
A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies."
B) "These symptoms are part of your disease and can't be helped."
C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy."
D) "This is a good sign. It means that only the cancer cells are dying."
A
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To decrease disorientation during the detoxification period, the nurse should:
a. place the patient in a room with another recovering patient. b. instruct the patient to orient himself to his surroundings at bedtime. c. wake the patient up every 4 hours to eat a small snack. d. use nightlights and remove extra furniture from the room.
How do proton pump inhibitors work to treat peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD)?
a. Forming a thick stomach coating b. Neutralizing acids in the stomach c. Blocking the production of stomach acid d. Decreasing the stimulation of H2 receptors
The patient's blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of
a. 140. b. 60. c. 80. d. 200.
A patient who has had abdominal surgery has been receiving morphine sulfate via a patient-controlled analgesia (PCA) pump
The nurse assesses the patient and notes that the patient's pupils are dilated and that the patient is drowsy and lethargic. The patient's heart rate is 84 beats per minute, the respiratory rate is 10 breaths per minute, and the blood pressure is 90/50 mm Hg. What will the nurse do? a. Discuss possible opiate dependence with the patient's provider. b. Encourage the patient to turn over and cough and take deep breaths. c. Note the effectiveness of the analgesia in the patient's chart. d. Prepare to administer naloxone and possibly ventilatory support.